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A Phase 2, Multicentre, Open-Label Trial to Evaluate APL-9796 in Adult Participants With Pulmonary Hypertension (ViTAL-PH)
Led by Apollo Therapeutics Ltd · Updated on 2026-05-11
48
Participants Needed
6
Research Sites
4 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the safety, tolerability, and potential effectiveness of multiple subcutaneous injections of APL-9796 in adults with pulmonary hypertension (PH) in this phase 2, open-label dose escalation trial. The study focuses on adults diagnosed with WHO Group 1 Pulmonary Arterial Hypertension (PAH) and optionally includes adults with WHO Group 3 PH associated with interstitial lung disease (PH-ILD). The trial also monitors whether the body produces antibodies against APL-9796. The study is conducted in two parts with different participant groups. Part A involves up to 36 adults with WHO Group 1 PAH receiving one of three planned dose levels of APL-9796, evaluated sequentially in cohorts of four participants. An optional Part B may include up to 12 adults with WHO Group 3 PH-ILD, with initiation decided by a Safety Review Committee. The treatment is given as subcutaneous injections, and dose levels are adjusted based on ongoing safety data. Participants will be assessed through various evaluations including telemetry parameters, six-minute walk tests, NT-proBNP blood tests, and quality of life questionnaires from baseline through day 169. Pharmacokinetics and immune response to APL-9796 will be monitored at regular visits approximately every 28 days until day 169, with additional follow-ups on days 254, 339, and 508. The primary outcome focuses on the incidence of treatment-emergent adverse events over about two years, ensuring thorough safety and tolerability monitoring throughout the study.
CONDITIONS
Brief Title
A Trial of "APL-9796'' in Adults With Pulmonary Hypertension
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Participants must be between 18 and 80 years old inclusive
- Diagnosed with pulmonary hypertension by right heart catheterisation at any time before screening
- WHO Functional Class II or III
- Have a CardioMEMS PA Sensor implanted
You will not qualify if you...
- Hospital admission related to pulmonary hypertension within 3 months prior to screening
- Major surgery within 3 months prior to screening unless fully recovered
- Pulmonary hypertension caused by HIV, portal hypertension, schistosomiasis, or uncorrected congenital heart disease
- History of left-sided heart disease or significant cardiac disease
- History of uncontrolled high blood pressure
- Estimated glomerular filtration rate (eGFR) less than 30 ml/min/1.73m2
- Life expectancy less than 12 months as assessed by the investigator
- Diagnosed with cancer within 5 years before enrollment
- Contraindications to required imaging, diagnostic, or sampling procedures
AI-Screening
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Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Approximately 6 months (up to Day 169)
Participants receive APL-9796 drug treatment with dose levels determined sequentially in cohorts. Treatment includes approximately every 28-day visits for dosing and assessments.
Visits approximately every 28 days until Day 169, then visits at Day 254, Day 339, and Day 508
Duration - Up to approximately 17 months following Day 169 (until Day 508)
Participants continue to be monitored for safety and treatment effects after the main treatment period ends.
Visits at Day 254, Day 339, and Day 508
Trial Site Locations
Total: 6 locations
1
Hammersmith/Imperial Hospital
London, London, United Kingdom, W12 0HS
Actively Recruiting
2
Royal United Hospital Bath
Bath, United Kingdom
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3
Royal Papworth Hospital
Cambridge, United Kingdom
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4
Golden Jubilee Hospital
Clydebank, United Kingdom
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5
Royal Brompton Hospital
London, United Kingdom
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6
Sheffield Teaching Hospitals
Sheffield, United Kingdom
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Research Team
S
Sanjay Aggarwal, MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
2
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